# IMS Pulse vs ER NAV

The clearest difference is in-app purchases: IMS Pulse at none against ER NAV's 1. IMS Pulse also leads on iOS requirement (13.0 vs 17.5). On price, update cadence, ads and device support there is nothing between them.

Both are free to download. ER NAV sells 1 in-app purchase, starting at $2.99 per month. IMS Pulse asks for nothing beyond the download.

IMS Pulse ships an update every 6 months, ER NAV every 3 months. The most recent releases landed on October 30, 2026 and October 24, 2026 respectively.

## The numbers

| Metric | IMS Pulse | ER NAV |
| --- | --- | --- |
| Price | Free | Free |
| Rating | — | **[4.8 (16 ratings)](https://appshunter.io/ios/app/er-nav/id6751308029/reviews)** |
| Number of ratings | — | **16** |
| Positive reviews | — | 85.7% of reviews |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 6 months | **Every 3 months** |
| Monetization | — | Freemium |
| Size | 21 MB | 32 MB |
| Requires iOS | **13.0** | 17.5 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPad |
| Age rating | 4+ | 4+ |
| Developer | [Urooj Athar](https://appshunter.io/developer/1802548343) | [DirectTo Solutions LLC](https://appshunter.io/developer/1834555580) |

## What reviewers say

### IMS Pulse

[App page](https://appshunter.io/ios/app/ims-pulse/id6743383507)

**Features:** macOS Compatibility

**In-app purchases:** none


### ER NAV

[App page](https://appshunter.io/ios/app/er-nav/id6751308029)

This app provides EMS professionals with direct navigation to ambulance bays and critical hospital information. It offers features like specialty filtering, user-submitted bay images, and integrated medical references. Users can also access protocols, drug information, and a unique O2 tank calculator.

**Highlights:** Direct ambulance bay navigation, Hospital specialty designations, User-submitted bay images, Integrated medical references, NJ EMS protocol access, O2 tank duration calculator, Real-time traffic flow

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| All Access | $2.99 | per month |


## Frequently asked questions

### Is IMS Pulse free?

IMS Pulse is free to download, with no in-app purchases.

### Is ER NAV free?

ER NAV is free to download, with in-app purchases available.

### Do IMS Pulse or ER NAV have ads?

Neither IMS Pulse nor ER NAV shows ads.

### Which is updated more often, IMS Pulse or ER NAV?

IMS Pulse ships an update every 6 months, and ER NAV every 3 months. Most recently, IMS Pulse was updated on October 30, 2026 and ER NAV on October 24, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*